Provide integrated support to patients and physicians to improve medication adherence and quality of care.
Review patient assessments and EMRs to develop care plans and optimize drug therapies.
Monitor adherence, oversee technicians, and ensure compliance with pharmacy regulations.
Shields Health Solutions provides integrated specialty pharmacy support to patients and physicians. The company emphasizes high-integrity, quality-focused teamwork and confidentiality in a remote work environment.
Perform patient-specific medication reviews and develop recommendations for medical drug utilization management and Medication Therapy Management.
Resolve medication and pharmacy issues for members triaged from Member Services or other departments.
Act as subject matter expert for audits, quality improvement, and LEAN projects.
IEHP is a not-for-profit health plan dedicated to healing and inspiring the human spirit by providing quality healthcare services to members. They emphasize a supportive culture with career growth and wellness programs for their team.
Triage clinical incoming calls and conduct outreach to members, pharmacies, and prescribers.
Support operations of clinical programs including pharmacogenomics, MTM, and lower cost alternatives.
Ensure customer satisfaction and meet performance metrics while maintaining quality and compliance.
Judi Health is a health technology company providing benefit administration solutions to employers, unions, and health plans, using a unified claims processing platform. The company focuses on transparency and efficiency, serving millions of Americans.
Provides comprehensive medication management and patient counseling through telephone consultations.
Completes medication reviews to ensure safety, efficacy, and cost-effectiveness.
Collaborates with healthcare professionals to optimize therapeutic outcomes.
Dartmouth Health is a nonprofit academic health system delivering advanced medical care and research. It is one of New England's largest employers with a culture that values innovation and teamwork.
Triage incoming clinical programs calls, schedule consultations, and conduct outreach to prescribers, pharmacies, and members.
Manage and maintain drug lists to support clinical programs, including periodic maintenance and ad-hoc updates.
Support reporting requirements, monitor claims, and ensure communication among internal and external stakeholders.
Judi Health is a health technology company providing benefit administration solutions with Unified Claims Processing architecture. It operates in a startup environment, deploying infrastructure for millions of Americans.
Manage formularies, coverage determinations, and benefit design for PBM services.
Resolve clinical inquiries from members, clients, providers, and pharmacies.
Support P&T Committees with drug monographs, summaries, and medication policies.
OHSU is Oregon's only public academic health center with hospitals, clinics, and research schools. It is Portland's largest employer and a national research hub, welcoming diverse backgrounds.
Support pharmacy benefit operations by coordinating clinical and administrative workflows.
Review documentation and communicate with members, providers, and internal stakeholders.
Ensure accurate and compliant processing of pharmacy benefit requests.
We are an innovative company striving to reduce the cost of healthcare. We have a tight-knit culture based on an outward mindset and are growing quickly.
Serve as the designated Pharmacist in Charge and fulfill all related responsibilities.
Review and approve licensing submissions, renewals, and regulatory documentation.
Collaborate with the operations and compliance team to support ongoing compliance.
MD Exam is a healthcare organization specializing in sterile compounding operations. They are a growing company with an experienced team dedicated to compliance and patient safety.
Lead a multidisciplinary team integrating QA oversight, technical system management, and medication policy execution.
Drive clinical strategy, prior authorization platform management, and data-driven process improvements.
Ensure safety, evidence-based compliance, and operational excellence across the PA ecosystem.
SmithRx is a venture-backed Health-Tech company disrupting the Pharmacy Benefit Management (PBM) sector with a next-generation drug acquisition platform. With hundreds of thousands of members onboarded since 2016, the company is guided by a mission-driven and collaborative culture that inspires employees to transform the U.S. healthcare system.
Triage clinical program calls, schedule consultations, and conduct outreach to members, prescribers, and pharmacies.
Monitor outreach queues, document case activities, and escalate issues to ensure timely completion of clinical programs.
Maintain compliance with HIPAA and internal SOPs while providing compassionate, professional support to members and providers.
Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. They consolidate pharmacy and medical benefits on a unified platform, leveraging AI-powered care delivery to enhance efficiency and service. The company is a growing startup focused on transforming healthcare infrastructure.
Verify prescriptions for therapeutic appropriateness, interactions, and dosing accuracy.
Provide proactive phone-based patient counseling and handle inbound clinical calls.
Collaborate with prescribers and supervise pharmacy technicians to maintain workflow quality.
Blink Health is a healthcare technology company that builds products to make prescriptions accessible and affordable, with a focus on removing roadblocks in the prescription supply chain. They are a collaborative team of builders and operators who value innovation and diversity.
Support analysis, maintenance, and optimization of pharmacy and client networks through detailed data analysis and system updates.
Conduct research on claims, pricing, and reimbursement discrepancies, and develop operational audit tools.
Assist with network contract implementation, policy development, and building collaborative relationships with internal departments.
PDMI provides pharmacy data processing and flexible, scalable solutions for private label PBMs, health plans, and hospital systems. The company has been voted Best Employer in Ohio for six consecutive years and offers a collaborative, fully remote work environment.
Serve as the designated Pharmacist-in-Charge, reviewing licensing submissions and regulatory documentation.
Work with pharmacy operations and compliance team to support ongoing compliance and Board-related discussions.
Provide professional guidance and identify issues requiring follow-up or corrective action.
MD Exam is a growing healthcare organization with established sterile compounding operations. It offers an experienced team support and a collaborative culture focused on patient safety and compliance.
Verify prescriptions and conduct drug utilization reviews to ensure regulatory compliance.
Review Prior Authorization requests and transfer prescriptions for timely medication delivery.
Collaborate across departments to improve patient health outcomes and adherence.
PHIL is a San Francisco-based health-tech startup building a platform that connects doctors, pharmacies, and patients to streamline prescription management and delivery. The team consists of mission-driven individuals from diverse backgrounds focused on creating an innovative healthcare platform.
Lead a team of account managers to drive retention and growth across pharmacy relationships.
Implement proactive engagement models with business reviews and strategic check-ins.
Align RxSense's solutions with partner objectives and pursue organic growth opportunities.
RxSense is a healthcare technology company providing platforms to improve the management and access of cost-effective pharmacy benefits. They serve enterprise and partnership clients with SaaS solutions, and foster a diverse, collaborative workforce.
Manage prescription workflows and provide clinical and operational support to the pharmacy enablement team.
Collaborate with RNs, providers, and coaches to coordinate care and resolve member issues.
Process clinical tickets, route faxes and records, and follow SOPs to maintain compliance.
Virta Health works to reverse metabolic disease in one billion people using technology, personalized nutrition, and virtual care delivery. It is a remote-first company backed by over $350 million from top-tier investors, partnering with health plans, employers, and government organizations.
Partner with Customer Success to deliver measurable 340B outcomes for a portfolio of clients.
Lead implementations, manage timelines, and ensure consistent execution across client workflows.
Analyze data to surface trends, optimize referral capture, and drive client performance.
NuvemRx helps community health providers simplify pharmacy operations with software, intelligence, and expert support. It is a fast-growing, mission-driven company that values ownership, collaboration, integrity, and service.
Oversee the administration, compliance, and audit readiness of the 340B Drug Pricing Program for assigned Covered Entity clients.
Serve as the primary compliance resource, conducting routine reviews, internal audits, and operational assessments to identify risks.
Collaborate with clients, internal teams, and third-party administrators to ensure compliant and effective program operations.
NuvemRx helps community health providers simplify pharmacy operations with a suite of scalable solutions integrating software, intelligence, and expert support. We are a fast-growing, mission-driven team that values integrity, collaboration, and a bias toward action.
Provide clinical expertise in neurology and behavioral health across the system.
Develop and implement evidence-based guidelines, policies, and procedures.
Collaborate with healthcare teams to enhance medication use and patient outcomes.
Baptist Health is a full-spectrum health system based in Louisville, Kentucky, operating 10 hospitals and more than 470 points of care. With over 24,000 employees and a strong focus on clinical excellence and nursing recognition, it is dedicated to improving community health.